My nose is bleeding, what should I do?

What should I do if my nose is bleeding?

Don’t panic, epistaxis can be stopped with the right measures!

1.Don’t be nervous, avoid swallowing the blood and try to spit it out.

2, to stop the bleeding locally, use one thumb and finger to pinch the root of both sides of the nose, press the front and bottom of the nasal septum, while leaning your head forward a little, open your mouth to breathe, pinch for a few minutes in this way, generally can stop the bleeding. If there is a cotton ball nearby can be plugged into the bleeding side of the nostril, pinch in accordance with the above method, the effect will be better. If at the same time with a cool towel or ice bag cold compress nasal back, nose root, back of the neck and forehead, can accelerate the process of hemostasis.

3.When the above treatment still cannot stop the bleeding, you should go to hospital for treatment. There are many methods: Nasal stuffing: is the fastest and easiest way to stop bleeding, but the operation will cause some pain. The duration of stuffing is at least 3 days, depending on the condition, and the nasal stuffing can be gradually removed after 3 days.

Nasal endoscopic surgical exploration and hemostasis: the advantage is that the operation is performed under anesthesia, completely painless, and with good hemostatic effect, the disadvantage is that it cannot be performed immediately, because time is needed for preoperative preparation!

Interventional treatment, i.e., arterial embolization: the advantage is that no general anesthesia is required, less painful, and effective in stopping arterial bleeding, the disadvantage is that it may cause cerebral infarction!

Various methods have pros and cons, according to the patient’s situation to recommend and choose, so that the patient as soon as possible to stop bleeding, is the first priority!

What causes nosebleeds?

1, local causes of epistaxis due to nose digging are the most common. Anatomically speaking, because of the thin mucosa of the bleeding-prone area of the anterior part of the nasal septum, the blood vessels are abundant and superficial. In terms of the external environment, when the temperature is dry or the patient is hyperthermic, the nasal mucosa is dry and uncomfortable and crusty. Local causes of epistaxis are more common, such as deviated nasal septum, benign bleeding tumors in the nasal cavity, sinuses or nasopharynx or malignant tumors that invade and destroy local blood vessels can cause bleeding.

2, systemic causes such as blood diseases, hypertension, arteriosclerosis, etc. can cause epistaxis, liver and spleen diseases, nutritional disorders and vitamin deficiency, low calcium, etc. can also cause epistaxis.

What should I pay attention to in order to prevent the occurrence of nasal bleeding?

1. Keep the room quiet and clean, and the temperature should be appropriate. Keep the indoor air fresh, open the windows properly for ventilation, and the temperature should be kept at 18-20℃. Because the air is too dry can induce nasal bleeding, so the air humidity should be ≥ 60%.

2.The elderly should move slowly when moving around on weekdays, do not blow their noses hard, and stop coughing symptomatically.

3, the diet should be into some easy to digest soft food, eat more fruits and vegetables, avoid spicy and stimulating diet, and keep the bowel movement smooth, constipation can be given laxative.

4, elderly patients with epistaxis are mostly accompanied by hypertension, coronary heart disease, bronchitis, etc. They should regularly prevent and control the original disease and must be treated accordingly for the cause, especially for patients with hypertension, they must control their blood pressure to normal or near normal level as soon as possible, observe the changes in their condition, and go to the hospital in time.

5, for children with epistaxis should correct the bad habits of the children that easily lead to mucosal damage such as nose picking, nose rubbing, curious placement of foreign objects.